Provider Demographics
NPI:1427731462
Name:GOYAL, NISHANT (MBBS, MCH)
Entity type:Individual
Prefix:DR
First Name:NISHANT
Middle Name:
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MBBS, MCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF NEUROSURGERY 175 NORTH MEDICAL DRIVE EAST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-2303
Mailing Address - Country:US
Mailing Address - Phone:801-581-5584
Mailing Address - Fax:801-581-4385
Practice Address - Street 1:DEPARTMENT OF NEUROSURGERY 175 NORTH MEDICAL DRIVE EAST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-2303
Practice Address - Country:US
Practice Address - Phone:801-574-8459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program